Individual provider · NPI-1
Julie Endreson, ATC
Physical Therapy Assistant · Santa Fe, NM
NPI number1295894228
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1295894228
- Entity type
- Individual (NPI-1)
- Name
- Julie Endreson
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A-71 | NM | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 79 | NM |
Practice location
104c Old Las Vegas HwySanta Fe, NM 87505-8199
Phone 505-992-4995 · Fax 505-992-4985
Mailing address
104c Old Las Vegas HwySanta Fe, NM 87505-8199
Phone 505-992-4995 · Fax 505-992-4985
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